Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,949.84 / $4,365.16	Facility		$112.20	$1,949.84	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $371.54	Professional		$79.43	$162.18	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Professional		$70.79	$87.10	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $275.42	Professional		$75.86	$120.23	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $363.08	Professional		$87.10	$173.78	$363.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,412.54 / $4,786.30	Facility		$112.20	$1,412.54	$4,786.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $302.00	Professional		$81.28	$169.82	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $302.00	Professional		$85.11	$165.96	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,884.03 / $5,623.41	Facility		$588.84	$2,884.03	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $263.03	Professional		$87.10	$158.49	$263.03